Should I replace my bridge with implants?
Q.
Hi,
I have a failing bridge involving UR1,2 & 3. UR3 needs an extraction UrR1 a root canal. I have been advised by 2 dentists that I should have an implant on UR3 with a cantilever bridge to replace my missing 2, with a seperate crown on UR1( the Dr said a large implant here will easily hold 2 teeth.
Another clinic I visited recommended 2 implants on ur3 and 2. They wont do a cantilever bridge option they believe the physics/mechanics of it i.e forces of eating etc dont gaurantee it to last. I do have quite a heavy bite with some wear on my bottom teeth and this concerns me that it may cause too much pressure on cantilever option. Also would a larger than normal/necessary implant be needed to hold 2 teeth here? is it better to use 2 smaller ones to hold teeth separately. also I have a bridge on my left side involving same 3 teeth, would the two implants option make the other fitted bridge side look odd or not really an issue?. I really dont know what would be best, both clinics say their options would look better cosmetically. Help!!!
Hi,
I have a failing bridge involving UR1,2 & 3. UR3 needs an extraction UrR1 a root canal. I have been advised by 2 dentists that I should have an implant on UR3 with a cantilever bridge to replace my missing 2, with a seperate crown on UR1( the Dr said a large implant here will easily hold 2 teeth.
Another clinic I visited recommended 2 implants on ur3 and 2. They wont do a cantilever bridge option they believe the physics/mechanics of it i.e forces of eating etc dont gaurantee it to last. I do have quite a heavy bite with some wear on my bottom teeth and this concerns me that it may cause too much pressure on cantilever option. Also would a larger than normal/necessary implant be needed to hold 2 teeth here? is it better to use 2 smaller ones to hold teeth separately. also I have a bridge on my left side involving same 3 teeth, would the two implants option make the other fitted bridge side look odd or not really an issue?. I really dont know what would be best, both clinics say their options would look better cosmetically. Help!!!
A.
Hi
In order to offer you a very accurate opinion and set of options I’d obviously need to examine you properly. It may be that both the suggestions are equally correct? I would always advise that for implants you go to see a specialist with implant expertise and a vast amount of experience , rather than a general dentist, to get the very best advice and treatment. If your bite is very heavy then your treatment needs to be planned very carefully. For the best aesthetic finish it may be wise to replace the bridge you have on the other side so that the new crowns on the implants match exactly, but this of course makes your treatment more expensive. Having both sides matching in my opinion gives you the best result and is usually easier than trying to match any new dental restorations to old ones. Hope that helps you.
Hi
In order to offer you a very accurate opinion and set of options I’d obviously need to examine you properly. It may be that both the suggestions are equally correct? I would always advise that for implants you go to see a specialist with implant expertise and a vast amount of experience , rather than a general dentist, to get the very best advice and treatment. If your bite is very heavy then your treatment needs to be planned very carefully. For the best aesthetic finish it may be wise to replace the bridge you have on the other side so that the new crowns on the implants match exactly, but this of course makes your treatment more expensive. Having both sides matching in my opinion gives you the best result and is usually easier than trying to match any new dental restorations to old ones. Hope that helps you.
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